Organization Active NPI

MTN Care, PLLC

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1881179844
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MTN CARE, PLLC
Practice address
5543 Edmondson Pike # 231
Nashville, TN 37211-5808
Phone
(615) 569-8168
Fax
(615) 549-1532
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haroon Khan, MDNPI 1730114315
Title
Owner
Phone
(615) 569-8168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5543 Edmondson Pike # 231
Nashville, TN 37211-5808

Mailing address

5543 Edmondson Pike # 231
Nashville, TN 37211-5808
Phone (615) 569-8168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218000250 TN Part B Supplier - Clinic/Group Practice 0749528701 Receives reassigned benefits from 2 practitioners
Practice locations: Gallatin, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1881179844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 EDMONDSON PIKE # 231",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808",
            "telephone_number": "615-569-8168",
            "fax_number": "615-549-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5543 EDMONDSON PIKE # 231",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808",
            "telephone_number": "615-569-8168",
            "fax_number": "615-549-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTN CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-569-8168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.